VISIONARY SURGERY CENTER, LLC
NPI 1821810326
Clinic/Center - Ambulatory Surgical in Mishawaka, IN
About Visionary Surgery Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISIONARY SURGERY CENTER, LLC (NPI 1821810326) is a healthcare organization registered as an ambulatory surgical in Mishawaka, Indiana and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Erin Malloy, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 15D2323456
Visionary Surgery Center, LLC · Mishawaka, INFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Visionary Surgery Center, LLC's NPI number?
The NPI number for Visionary Surgery Center, LLC is 1821810326. It was assigned to this organization in the NPPES registry on October 28, 2024.
Where is Visionary Surgery Center, LLC located?
Visionary Surgery Center, LLC is located at Visionary Surgery Center, LLC 4335 Edison Lakes Pkwy, Mishawaka, IN 46545. The listed phone number is (417) 447-4484.
What is Visionary Surgery Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Visionary Surgery Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2323456) is associated with this NPI, valid through May 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Visionary Surgery Center, LLC was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Visionary Surgery Center, Llc · NPI 1821810326
Ambulatory Surgical organization in Mishawaka, Indiana. Organization record, active in the CMS NPPES registry since October 28, 2024.
## Identity
- **NPI:** 1821810326 (Entity type: Organization)
- **Enumerated:** October 28, 2024
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Erin Malloy, ADMINISTRATOR
## Practice location
- **Address:** VISIONARY SURGERY CENTER, LLC, 4335 EDISON LAKES PKWY, Mishawaka, IN 46545
- **Phone:** (417) 447-4484
## Record status
- **NPPES last updated:** October 28, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821810326) · Data from the CMS NPPES public registry.